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Dysrhythmias VII: Nursing Management of Dysrhythmias01:25

Dysrhythmias VII: Nursing Management of Dysrhythmias

Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...
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Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
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Hepatic Encephalopathy

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SBAR II: Application of SBAR

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Altered States of Awareness

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Updated: May 7, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
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Approach to syncope and altered mental status.

Emily C MacNeill1, Sudhir Vashist

  • 1Department of Emergency Medicine, Carolinas Medical Center, Carolinas Healthcare System, 1000 Blythe Boulevard, 3rd Floor Medical Education Building, Charlotte, NC 28203, USA.

Pediatric Clinics of North America
|October 8, 2013
PubMed
Summary

Altered mental status in children is a diagnostic challenge. This guide helps practitioners identify serious causes and avoid unnecessary tests for benign conditions.

Keywords:
PediatricPersistent altered mental statusSeizureSyncopeTransient altered mental status

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Area of Science:

  • Pediatric Emergency Medicine
  • Neurology
  • Clinical Toxicology

Background:

  • Altered mental status (AMS) in children presents a significant diagnostic challenge for healthcare providers.
  • Episodes can be transient or persistent, requiring careful evaluation.

Purpose of the Study:

  • To describe common causes of altered mental status in pediatric patients.
  • To outline a rational diagnostic and management approach for these cases.

Main Methods:

  • Review of common etiologies of pediatric altered mental status.
  • Delineation of a systematic approach to patient evaluation.

Main Results:

  • Identification of life-threatening causes of altered mental status.
  • Strategies to differentiate serious from benign conditions.

Conclusions:

  • A structured approach aids in recognizing critical diagnoses of pediatric altered mental status.
  • This approach can prevent over-investigation of less severe cases.